Roberta Villanueva, NURSE PRACTITIONER

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

License

276628 Issued in CA

Practice address

121 N Beaudry Ave
Los Angeles, CA 90012-2009

Phone

(213) 202-7533

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Angeles Unified School District

  • Nursing Care Agency
  • Pasadena, CA
  • NPI 1609024538
  NPD (past) Authorized official
• Los Angeles Unified School District

  • Pediatric Nurse Practitioner
  • Los Angeles, CA
  • NPI 1699187484

  Pediatrics

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1174954978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CROWNE DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075912",
            "telephone_number": "213-202-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N BEAUDRY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122009",
            "telephone_number": "213-202-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ROBERTA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "276628",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CA",
            "license": "276628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Villanueva
• Mary Ann Villanueva, NP
• Miya Villanueva, PNP
• Nissan Isiah Miclat Villanueva, LVN
• Patrick Villanueva
• Rosa Elena Villanueva
• Sandra Villanueva
• Shanygne Villanueva, M.A.
• Sonia Saavedra Villanueva
• Tish Villanueva, MD

• School Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• School Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.